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APPLICATI A4 FOR CONSTRUC". JN PERMIT <br /> CITY OF EVERETT •BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 A r <br /> I l DEMOLITION COMBINATION I I BUILDING I l MECHANICAL 11 PLUMBING f I SIGN <br /> PROJECT ADDRESS ,)_)o �10_- !_ )�/ , Id <br /> C, <br /> W U I ADDness CRY rIr PIIONF. <br /> (Beo AA <br /> TENANT MAIL ADU11F55 CITY ZIP PHONE <br /> AnC11IiECT On OFSIGNm MAIL ATWRE45 CITY ZIP PHONE <br /> r��s N1iM: leg, ivzr.r�u�r,Ix— IkiLn �"Itj 9807z lz s izcy <br /> r(GFNCnAI N4IRACTOOR I ' MAIL ADORE 55 CITY IIP PHONE SU IE LICFN I p <br /> uL;hANj t152 �riN'�-_ -,t;* SGLYL� GS 1h�NPC RA.sS�'r. o SZ- <br /> MECIIANICAI CO4TRACTOn MAIL AUDRFSS CITY 71P PHONE }TATE LICE..SE F <br /> } 1J. A(dPl' two . x=1�_(�rei �i�eNlls WA 98�5�" J(.y3INF c�� ogB <br /> P IB OGDNTRACTOR M) t JOnESS CITY TIP PIIONF STATE.ICENSE. <br /> CONTRACT mi r or WonN <br /> HEATING SYSTEM: Pe GAS fl ELECTRIC fl _ <br /> DE$C DE WO KANO SOUAFl; <ipGEIN':ulVEp� 2 CON 10E' r'p P11pN0 -/���— -- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> POSED USE OF BUILDAPPLICATION AND KNOW THE SAME TO BE TRUE AND COF.REC T.ALL <br /> P ING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T',PE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIF,ED HEREIN OR <br /> LEGALt�)W70NOFPAOPERIYfSHOMnELOW04ArTADI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK Or Is AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �� OTHER STAI E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> 2.�,\nflJ S PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI D NUN-SEA-7- y CONTRACTORS LAW I AND 296.200 WAC. <br /> _ <br /> CO STnUCTION LOAN LFNDEn.ADDnESS.IF LEPIIONENUMBED �j <br /> �,� (� -oy 2 II a UnF Are <br /> �,1� <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING _MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM _ FEE _ <br /> WATER CLOSET(TOILET) I I A/C—AMNDLG UNITS—H.P. <br /> BATHTUB _ FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWER / UNIT HEATERS—B.T.U. M ; <br /> KITCHEN SINK 8 DISP I CLOTHES DRYERS i <br /> DISHWASHER I VENTILATION FAN _ <br /> LAUNDRY TRAY RANGE HOOD <br /> CLOTHES WASHER IT WATLR HEATER _— I <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE T <br /> _ GAS PIPING ' <br /> EXHAUSTFAN <br /> - I I <br /> I <br /> SUB TOTAL $ _ SUB TOTAL E <br /> PERMIT $ PERMIT E I <br /> TOTAL FEE $ ' _ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBAC /I READ SETBACK i SIDE SETRACX PLAN CHFCK NUMnFn F6 RECEIPT NO. <br /> S+ 2 - , 3c� 1,/9 y&7 <br /> usE ZONE � LOT AnFA A vncnr- S FEES VALUATION <br /> H ! <br /> ueEs nN° nunrn4G <br /> HEIGHT LIMNO OF DWELLING SI1 I <br /> r� UNITS aLIv,,,A twt rlHMnwG 7f JO ) <br /> OCCUPANCY <br /> r"OF STORIES OCCUPANT LOAD BASEMI:NI LIFCIURICAL / <br /> K 3 H I '� } nYrs w I'D <br /> FIRE ALARM Rr^E0D REASON ADDITIONU <br /> AL PN CHECK <br /> V OTHER l� �V/v -- <br /> FIRE SPRINKLER rOU REASON <br /> RSTATE BUILDING SURCHA ITE — <br /> tr OFoo T PLANS APPRv Br CITY OF EVERETT ranLlc WORKS <br /> AP <br /> I LOCAL SALES <br /> _ DATE �j 27 �S TAX CODE IS 3105 TOTAL 9 <br />